Barbara McWaters
Crofton
Summary
Results-driven professional with extensive experience in customer service, staff management, and problem-solving. Proven ability to streamline processes and enhance patient experiences through effective communication and relationship building.
Overview
1985
1985
years of professional experience
Work History
PFS Supervisor
Jennie Stuart Health
2005 - 2026
- Supervised daily operations to ensure compliance with health regulations and standards.
- Coordinated staff schedules to optimize workforce efficiency and coverage.
- Implemented training programs to enhance team performance and service delivery.
- Monitored patient care processes to identify areas for quality improvement.
- Evaluated staff performance, providing constructive feedback and mentorship for professional growth.
- Streamlined communication between departments to enhance collaboration and patient outcomes.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Reduced employee turnover by fostering a positive work environment and providing ongoing feedback to staff members.
- Improved customer satisfaction with prompt and courteous resolution of inquiries and complaints.
Medical Biller
Jennie Stuart Health
1984 - 2005
- Processed medical claims using billing software to ensure accuracy and timely submissions.
- Reviewed patient records for completeness, verifying insurance information and coding compliance.
- Resolved billing discrepancies by communicating effectively with healthcare providers and insurance companies.
- Assisted in training new staff on billing procedures and software utilization to enhance team efficiency.
- Maintained up-to-date knowledge of regulations affecting medical billing practices to ensure compliance.
- Collaborated with clinical teams to streamline documentation processes for improved billing accuracy.
- Conducted audits of submitted claims, identifying errors and implementing corrective actions as needed.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
- Responded to customer concerns and questions on daily basis.
- Maintained accurate records of customer payments.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
Registrar
Jennie Stuart Medical Center/Deaconess
1982.07 - 1984.06
- Registered patient information accurately in electronic health record systems.
- Verified insurance eligibility and benefits for patients prior to appointments.
- Assisted with resolving patient inquiries regarding registration and billing issues.
- Maintained confidentiality of sensitive patient information in compliance with HIPAA regulations.
- Educated patients on necessary paperwork and documentation required for services.
- Streamlined registration processes, enhancing overall patient experience and satisfaction.
- Improved patient satisfaction by efficiently registering patients and verifying insurance information.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient financial problems with guidance from documented guidelines and procedures.
- Contributed to a positive work environment by consistently providing exceptional customer service to both patients and colleagues.
- Collaborated with interdisciplinary teams to ensure seamless coordination of care during the registration process.
- Ensured compliance with hospital protocols by staying current on industry regulations and attending regular training sessions.
- Upheld the highest standards of professionalism while interacting with diverse populations seeking medical assistance.
- Maintained accurate patient records with diligent data entry and attention to detail.
- Enhanced communication between medical staff and patients, providing clear explanations of procedures and policies.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Performed various administrative tasks by filing, copying and faxing documents.
- Obtained payments from patients and scanned identification and insurance cards.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Processed medical insurance claims and payments.
- Assisted with medical coding and billing tasks.
- Managed office bookkeeping with insurance billing and patient payments.
Education
High School Diploma -
Christian County High School
Hopkinsville KY Skills
- Training and mentoring
- Goal oriented
- Staff management
- Customer service
- Decision-making
- Employee motivation
- Complex Problem-solving
- Analytical thinking
- Team building
- Relationship building
- [Software] experience
- Data analytics
- Verbal and written communication
- Documentation and reporting
- Multitasking
- Customer relations
- MS office
- Adaptability
Accomplishments
Started as a registrar and worked my way up in the company to supervisory role.
Timeline
Registrar
Jennie Stuart Medical Center/Deaconess
1982.07 - 1984.06
PFS Supervisor
Jennie Stuart Health
2005 - 2026
Medical Biller
Jennie Stuart Health
1984 - 2005
High School Diploma -
Christian County High School
Worked my way up in the company
Registrar, Biller, Team Lead, and then to PFS Supervisor